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1.
Sci Rep ; 12(1): 12968, 2022 07 28.
Artículo en Inglés | MEDLINE | ID: mdl-35902671

RESUMEN

Hyperhomocysteinemia was reported to enhance endoplasmic reticulum (ER) stress and subsequent apoptosis in several cells. However, the precise mechanisms of smoking susceptibility associated with hyperhomocysteinemia has not been fully elucidated. This study included 7- to 9-week-old C57BL6 male mice induced with hyperhomocysteinemia and were exposed to cigarette smoke (CS). A549 cells (human alveolar epithelial cell line) were cultured with homocysteine and were exposed to cigarette smoke extract (CSE) to observe cell viability and expression of proteins related to the ER stress. After 6 months of CS exposure, pulmonary emphysema was more severely induced in the group under the condition of hyperhomocysteinemia compared to that in the control group. The apoptotic A549 cells increased as homocysteine concentration increased and that was enhanced by CSE. Protein expression levels of ER stress markers were significantly increased after simultaneous stimulation. Notably, vitamin B12 and folate supplementation improved ER stress after simultaneous stimulation of A549 cells. In this study, we showed that hyperhomocysteinemia exacerbates CS exposure-induced emphysema in mice, suggesting that hyperhomocysteinemia and CS stimulation enhance ER stress and subsequent induced apoptosis in alveolar epithelial cells. It was suggested that there is a synergistic effect between homocysteine and CS.


Asunto(s)
Enfisema , Hiperhomocisteinemia , Enfermedad Pulmonar Obstructiva Crónica , Enfisema Pulmonar , Animales , Apoptosis , Modelos Animales de Enfermedad , Enfisema/etiología , Homocisteína , Humanos , Hiperhomocisteinemia/complicaciones , Masculino , Ratones , Ratones Endogámicos C57BL , Enfermedad Pulmonar Obstructiva Crónica/metabolismo , Enfisema Pulmonar/etiología , Enfisema Pulmonar/metabolismo , Nicotiana/efectos adversos
2.
Sci Rep ; 10(1): 2013, 2020 02 06.
Artículo en Inglés | MEDLINE | ID: mdl-32029818

RESUMEN

Although a loss of healthy pollen grains induced by metabolic heat responses has been indicated to be a major cause of heat-induced spikelet sterility under global climate change, to date detailed information at pollen level has been lacking due to the technical limitations. In this study, we used picolitre pressure-probe-electrospray-ionization mass spectrometry (picoPPESI-MS) to directly determine the metabolites in heat-treated single mature pollen grains in two cultivars, heat-tolerant cultivar, N22 and heat-sensitive cultivar, Koshihikari. Heat-induced spikelet fertility in N22 and Koshihikari was 90.0% and 46.8%, respectively. While no treatment difference in in vitro pollen viability was observed in each cultivar, contrasting varietal differences in phosphatidylinositol (PI)(34:3) have been detected in mature pollen, together with other 106 metabolites. Greater PI content was detected in N22 pollen regardless of the treatment, but not for Koshihikari pollen. In contrast, there was little detection for phosphoinositide in the single mature pollen grains in both cultivars. Our findings indicate that picoPPESI-MS analysis can efficiently identify the metabolites in intact single pollen. Since PI is a precursor of phosphoinositide that induces multiple signaling for pollen germination and tube growth, the active synthesis of PI(34:3) prior to germination may be closely associated with sustaining spikelet fertility even at high temperatures.


Asunto(s)
Respuesta al Choque Térmico/fisiología , Oryza/fisiología , Fosfatidilinositoles/biosíntesis , Polen/metabolismo , Fertilidad/fisiología , Germinación/fisiología , Calor/efectos adversos , Metabolómica , Análisis de la Célula Individual
3.
Am J Respir Cell Mol Biol ; 62(5): 588-597, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-31726018

RESUMEN

Smoking is a major risk factor for chronic obstructive pulmonary disease (COPD). Smoking susceptibility is important for the onset and development of COPD. We previously reported an association between serum iron concentrations and pulmonary function in male smokers. However, the mechanism governing smoking susceptibility in relation to iron deficiency is unclear; this study aimed to elucidate this mechanism. C57BL/6 male mice were fed an iron-deficient or normal diet and then exposed to cigarette smoke. BAL, histological analysis, and pulmonary function tests were performed after cigarette smoke exposure. Human alveolar type II epithelial A549 cells were treated with an iron chelator. Subsequently, A549 cells were exposed to cigarette smoke extract. In mice exposed to cigarette smoke for 2 weeks, the concentration of alveolar macrophages in the BAL fluid recovered from iron-deficient mice was significantly higher than that in normal diet mice. IL-6 and MCP-1 (monocyte chemotactic protein 1) concentrations in the BAL fluid increased significantly from baseline in iron-deficient mice, but not in normal diet mice. In mice exposed to cigarette smoke for 8 weeks, the pathological mean linear intercepts, physiological total lung capacity, and functional residual capacity in the lungs of iron-deficient mice were significantly greater than in normal diet mice. Phosphorylation of NF-κB was enhanced in the lungs of iron-deficient mice exposed to cigarette smoke and in the iron-chelating A549 cells exposed to cigarette smoke extract. Iron deficiency exaggerated cigarette smoke-induced pulmonary inflammation, suggesting that it may accelerate COPD development.


Asunto(s)
Enfisema/etiología , Deficiencias de Hierro , Fumar/efectos adversos , Células A549 , Animales , Líquido del Lavado Bronquioalveolar , Dieta , Suplementos Dietéticos , Modelos Animales de Enfermedad , Enfisema/sangre , Recuento de Eritrocitos , Humanos , Inflamación/sangre , Inflamación/complicaciones , Inflamación/patología , Iones , Hierro/sangre , Quelantes del Hierro/farmacología , Pulmón/patología , Masculino , Ratones Endogámicos C57BL , FN-kappa B/metabolismo , Fosforilación/efectos de los fármacos
4.
J Agric Food Chem ; 67(11): 3275-3283, 2019 Mar 20.
Artículo en Inglés | MEDLINE | ID: mdl-30830775

RESUMEN

In previous work, probe electrospray ionization/mass spectrometry (PESI/MS) and sheath-flow probe electrospray ionization/mass spectrometry (sfPESI/MS) were reported for the rapid and minimally invasive analysis of food. In this work, a modified version of sfPESI will be reported. The sample surface was pricked with an acupuncture needle inserted in the sfPESI probe that protruded from the terminus of the tip by 5 mm. The invasion depth of the needle into the sample was ∼1 mm. After sampling, the needle was retracted into the solvent-preloaded capillary with a protrusion length of 0.1-0.2 mm from the tip. A mass spectrum of the sample captured on the needle was obtained by applying a high voltage to the needle. This method could be applicable to profiling analyses of plants with the epicuticular wax covering on the surfaces that are difficult to analyze by sf-PESI. The on-site mass spectrometric analysis for a growing apricot in the field was performed to monitor the developing stage of the fruit.


Asunto(s)
Análisis de los Alimentos/métodos , Frutas/química , Prunus armeniaca/química , Espectrometría de Masa por Ionización de Electrospray/métodos , Agricultura , Análisis de los Alimentos/instrumentación , Frutas/crecimiento & desarrollo , Agujas , Prunus armeniaca/crecimiento & desarrollo , Espectrometría de Masa por Ionización de Electrospray/instrumentación
5.
J Am Soc Mass Spectrom ; 29(12): 2297-2304, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30238192

RESUMEN

In electrospray, excess charges are supplied to a sample solution by the occurrence of electrochemical reactions. Recently, different versions of electrospray, e.g., dielectric barrier electrospray ionization, inductive desorption electrospray ionization, and electrostatic-ionization driven by dielectric polarization, have been reported in which the sample solution was not in direct contact with the metal electrode but separated by dielectric materials. The objective of the current work is to elucidate the mechanism of dielectric barrier electrospray. A sealed borosilicate glass capillary inserted with a fine acupuncture needle was used as a probe. A sample solution (~ 400 nL) was captured on the glass capillary tip and a positive high voltage (HV) pulse (+ 4.5 kV) was applied to the internal metal electrode. Mass spectra were measured as a function of the HV pulse width from µs to 10 s. Ions started to be detected with the pulse width of ~ 5 ms. The ion intensities increased slowly with time and reached a plateau in a few seconds. The charge distribution of cytochrome c [M + nH]n+ shifted to higher n values from a few ms to seconds. In addition to cone-jet mode normal electrospray that lasted until all the liquid sample was depleted from the glass tip, the polarization-induced electrospray ionization was observed at the early stage of the HV application. Graphical Abstract ᅟ.


Asunto(s)
Electrodos , Agujas , Espectrometría de Masa por Ionización de Electrospray/instrumentación , Terapia por Acupuntura/instrumentación , Citocromos c/química , Vidrio
6.
Rapid Commun Mass Spectrom ; 32(5): 407-413, 2018 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-29235697

RESUMEN

RATIONALE: Probe electrospray ionization (PESI) is only applicable to liquid or wet samples. In this study, a sheath-flow PESI method for remote sampling mass spectrometry that can be applied to dry samples was developed. METHODS: An acupuncture needle (0.12 mm outer diameter, 700 nm tip diameter) was inserted into a gel-loading tip with a 0.1 mm protrusion out of the tip. Analytes were extracted by filling the latter tip with solvent and softly touching the sample surface for a short time (<1 s). A high voltage was applied to the acupuncture needle, and mass spectra of analytes were obtained by self-aspirating electrospray. RESULTS: Dry samples, such as lines of ballpoint pen ink on paper, pharmaceutical tablets, instant coffee, brown rice, and narcotics, gave strong ion signals. The sample carryover was negligible. The sequential electrospray was observed to be similar to conventional PESI. The limits of detection (LODs) for morphine and rhodamine B were found to be of the order of picograms. CONCLUSIONS: Because of its simplicity and versatility, sheath-flow PESI is a promising technique for on-site and nondestructive profile analysis of dry samples with bulky and complicated shapes, with a spatial resolution of ~0.3 mm.

7.
World Neurosurg ; 107: 1-5, 2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-28739517

RESUMEN

BACKGROUND: Stereotactic transcerebellar biopsies of brainstem tumors have often been reported. The Leksell frame or Cosman-Roberts-Wells frame is often used in transcerebellar approaches. However, to access lesions via the cerebellum, these frames should be secured as inferiorly on the cranium as possible, which can require exaggerated neck flexion and limit the flexible trajectory to the target. To overcome these disadvantages, we have devised a new way to use the Leksell frame for transcerebellar approaches. METHODS: The frame was fixed to the upper part of the head and arc support by attaching the frame upside down, which gives surgeons a wide operative field and permits flexible trajectory planning. RESULTS: Under local anesthesia, the surgery was performed in a sitting position. Air was observed in the target site on postoperative computed tomography and magnetic resonance imaging, which confirmed that a specimen had been successfully sampled from the site as planned. CONCLUSIONS: Our devised transcerebellar approach provided a generous operative field and a flexible trajectory, which enabled minimally invasive biopsy of a posterior fossa lesions to be performed in a short amount of time with the patient under local anesthesia.


Asunto(s)
Neoplasias Infratentoriales/cirugía , Técnicas Estereotáxicas/instrumentación , Anestesia Local , Medios de Contraste , Fosa Craneal Posterior/diagnóstico por imagen , Fosa Craneal Posterior/cirugía , Gadolinio , Humanos , Neoplasias Infratentoriales/diagnóstico por imagen , Imagen por Resonancia Magnética , Posicionamiento del Paciente , Tomografía Computarizada por Rayos X
8.
Chem Biodivers ; 11(7): 1001-9, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25044586

RESUMEN

Structureactivity relationships of nine thiophenes, 2,2': 5',2″-terthiophene (1), 2-chloro-4-[5-(penta-1,3-diyn-1-yl)thiophen-2-yl]but-3-yn-1-yl acetate (2), 4-(2,2'-bithiophen-5-yl)but-3-yne-1,2-diyl diacetate (3), 4-[5-(penta-1,3-diyn-1-yl)thiophen-2-yl]but-3-yne-1,2-diyl diacetate (4), 4-(2,2'-bithiophen-5-yl)-2-hydroxybut-3-yn-1-yl acetate (5), 2-hydroxy-4-[5-(penta-1,3-diyn-1-yl)thiophen-2-yl]but-3-yn-1-yl acetate (6), 1-hydroxy-4-[5-(penta-1,3-diyn-1-yl)thiophen-2-yl]but-3-yn-2-yl acetate (7), 4-(2,2'-bithiophen-5-yl)but-3-yne-1,2-diol (8), and 4-[5-(penta-1,3-diyn-1-yl)thiophen-2-yl]but-3-yne-1,2-diol (9), isolated from the roots of Echinops transiliensis, were studied as larvicides against Aedes aegypti. Structural differences among compounds 3, 5, and 8 consisted in differing AcO and OH groups attached to C(3″) and C(4″), and resulted in variations in efficacy. Terthiophene 1 showed the highest activity (LC50 , 0.16 µg/ml) among compounds 1-9, followed by bithiophene compounds 3 (LC50 , 4.22 µg/ml), 5 (LC50 , 7.45 µg/ml), and 8 (LC50 , 9.89 µg/ml), and monothiophene compounds 9 (LC50 , 12.45 µg/ml), 2 (LC50 , 14.71 µg/ml), 4 (LC50 , 17.95 µg/ml), 6 (LC50 , 18.55 µg/ml), and 7 (LC50 , 19.97 µg/ml). These data indicated that A. aegypti larvicidal activities of thiophenes increase with increasing number of thiophene rings, and the most important active site in the structure of thiophenes could be the tetrahydro-thiophene moiety. In bithiophenes, 3, 5, and 8, A. aegypti larvicidal activity increased with increasing number of AcO groups attached to C(3″) or C(4″), indicating that AcO groups may play an important role in the larvicidal activity.


Asunto(s)
Aedes/efectos de los fármacos , Echinops (Planta)/química , Insecticidas/química , Insecticidas/toxicidad , Tiofenos/química , Tiofenos/toxicidad , Aedes/crecimiento & desarrollo , Aedes/fisiología , Animales , Dípteros , Insecticidas/aislamiento & purificación , Larva/efectos de los fármacos , Larva/crecimiento & desarrollo , Larva/fisiología , Extractos Vegetales/química , Raíces de Plantas/química , Tiofenos/aislamiento & purificación
9.
J Agric Food Chem ; 61(49): 11921-8, 2013 Dec 11.
Artículo en Inglés | MEDLINE | ID: mdl-24168351

RESUMEN

This study aimed to examine the compounds increasing or decreasing in concentration in brown rice grains ripened under high air temperature during ripening using a heat-tolerant cultivar Fusaotome, a heat-intolerant cultivar Hatsuboshi, and an intermediate cultivar Koshihikari. 6-O-Feruloylsucrose (1), 3',6-di-O-sinapoylsucrose (2), 3'-O-sinapoyl-6-O-feruloylsucrose (3), 3',6-di-O-feruloylsucrose (4), cycloartenyl ferulate (5), and 24-methylenecycloartanyl ferulate (6) were isolated from the extracts of brown rice grains. The structures of the isolated compounds (1-6) were elucidated on the basis of spectroscopic analyses. The mean concentrations of compounds 2, 3, and 6 in the grains ripened under high air temperature were markedly higher than those ripened under normal air temperature. In contrast, the mean concentration of compound 5 in the grains ripened under high air temperature was markedly lower than those ripened under normal air temperature. Thus, compounds 2, 3, 5, and 6 constitute potential biomarkers of heat stress in the cultivars used. The mean concentrations of compound 4 in the grains of Fusaotome were the highest in all cultivars. In contrast, the mean concentration of compound 5 in the grains of Fusaotome was the lowest. Therefore, the unique composition of heat-tolerant Fusaotome combines a high concentration of compound 4 with a low concentration of compound 5.


Asunto(s)
Aire/análisis , Oryza/química , Fenoles/química , Extractos Vegetales/química , Semillas/crecimiento & desarrollo , Calor , Oryza/crecimiento & desarrollo , Oryza/metabolismo , Fenoles/metabolismo , Extractos Vegetales/metabolismo , Semillas/química , Semillas/metabolismo
10.
J Nippon Med Sch ; 73(5): 277-84, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-17106179

RESUMEN

BACKGROUND: An anion exchange resin has been reported to lower blood glucose levels in patients with type 2 diabetes. AIM: To examine, in comparison with an alpha-glucosidase inhibitor, the usefulness of colestimide in lowering blood glucose levels in patients with type 2 diabetes and hypercholesterolemia. METHODS: Thirty-three patients with type 2 diabetes and hypercholesterolemia were more or less randomly assigned to receive either colestimide (17 patients) or acarbose (16 patients). At 10 time points before and after administration, plasma glucose levels and serum lipid concentrations were measured in all subjects, and the J-index and M-value were calculated. RESULTS: Patients receiving colestimide showed significant decreases in glucose levels 2 hours after breakfast (from 216.9 +/- 37.2 mg/dl before treatment to 191.1 +/- 40.9 mg/dl after treatment; p=0.008), in the J-index (from 42.6 +/- 14.5 to 32.6 +/- 9.8; p<0.001), and in the M-value (from 23.1 +/- 12.1 to 14.6 +/- 7.1; p<0.001). CONCLUSION: In patients with type 2 diabetes and hyperlipidemia, colestimide was suggested to have blood glucose-lowering activity as does acarbose.


Asunto(s)
Acarbosa/uso terapéutico , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Epiclorhidrina/uso terapéutico , Hipercolesterolemia/tratamiento farmacológico , Hipoglucemiantes/uso terapéutico , Imidazoles/uso terapéutico , Resinas Sintéticas/uso terapéutico , Anciano , Glucemia/análisis , Femenino , Inhibidores de Glicósido Hidrolasas , Humanos , Lípidos/sangre , Masculino
11.
Scand J Gastroenterol ; 40(12): 1423-30, 2005 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-16316890

RESUMEN

OBJECTIVE: The aim of this investigation was to elucidate retrospectively the therapeutic effect of infliximab in patients with active Crohn's disease (CD) under nutritional therapy. MATERIAL AND METHODS: Using a review of the clinical records in 24 nationwide institutions specializing in inflammatory bowel disease, the short-term effect of infliximab in 97 patients with active CD was retrospectively investigated. The Crohn's disease activity index (CDAI) at baseline and after 2 weeks of a single infliximab administration (5 mg/kg) was compared among patients under total parenteral nutrition (TPN group, n=36), those following an elemental or polymeric diet (EN group, n=49) and those without TPN and EN (NN group, n=12). A decrease in CDAI >or= 70 or a CDAI value <150 at 2 weeks was regarded as effective. RESULTS: There was no difference in CDAI at baseline among the three groups. In each group, CDAI decreased significantly (from 250 (195-290) [median (interquartiles)] to 152 (123-233) in the TPN group, p<0.0001; from 259 (200-325) to 180 (130-238) in the EN group, p<0.0001; from 278 (222-291) to 164 (132-196) in the NN group, p=0.003). Infliximab was effective in 63.9% of patients in the TPN group, in 55.1% of those in the EN group and in 75% of the NN group. There was no statistical difference in efficacy among the three groups (p=0.4). Multivariate logistic regression analysis revealed younger age to be a significant factor related to the efficacy of infliximab. CONCLUSIONS: Infliximab is effective in patients with CD under TPN or EN. Age at infliximab administration may be predictive of response to infliximab.


Asunto(s)
Anticuerpos Monoclonales/administración & dosificación , Enfermedad de Crohn/terapia , Nutrición Enteral , Fármacos Gastrointestinales/administración & dosificación , Nutrición Parenteral Total , Adolescente , Adulto , Terapia Combinada , Femenino , Humanos , Infliximab , Japón , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Tiempo , Resultado del Tratamiento
12.
Pharmacology ; 74(4): 182-92, 2005 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-15855831

RESUMEN

We examined the preventive effect of plaunotol, an antiulcer drug, on acute gastric mucosal lesion progression in rats treated once with compound 48/80 (C48/80). Rats treated with C48/80 (0.75 mg/kg BW, i.p.) received plaunotol (10, 25 or 50 mg/kg BW, p.o.) 0.5 h after the treatment at which time gastric mucosal lesions appeared. The gastric mucosa of C48/80-treated rats showed progressed lesions and had increased myeloperoxidase (an index of neutrophil infiltration) activity and thiobarbituric acid reactive substances (an index of lipid peroxidation) content and decreased ascorbic acid and adherent mucus contents and Se-glutathione peroxidase activity at 3 h after C48/80 treatment. Postadministered plaunotol attenuated all these changes dose-dependently. These attenuating effects of plaunotol were not counteracted by pretreatment with indomethacin (5 mg/kg BW, i.p.), a prostaglandin synthesis inhibitor. These results indicate that plaunotol prevents the progression of C48/80-induced acute gastric mucosal lesions in rats possibly by its anti-inflammatory and antioxidant actions, but not by affecting gastric mucosal prostaglandin levels.


Asunto(s)
Antiulcerosos/farmacología , Alcoholes Grasos/farmacología , Mucosa Gástrica/efectos de los fármacos , p-Metoxi-N-metilfenetilamina/toxicidad , Animales , Ácido Ascórbico/metabolismo , Velocidad del Flujo Sanguíneo/efectos de los fármacos , Degranulación de la Célula/efectos de los fármacos , Progresión de la Enfermedad , Diterpenos , Relación Dosis-Respuesta a Droga , Mucosa Gástrica/metabolismo , Mucosa Gástrica/patología , Glutatión Peroxidasa/metabolismo , Histamina/sangre , Indometacina/farmacología , Masculino , Mastocitos/efectos de los fármacos , Mastocitos/fisiología , Moco/metabolismo , Peroxidasa/metabolismo , Ratas , Ratas Wistar , Selenio/metabolismo , Serotonina/sangre , Compuestos de Sulfhidrilo/metabolismo , Sustancias Reactivas al Ácido Tiobarbitúrico/metabolismo , p-Metoxi-N-metilfenetilamina/administración & dosificación
13.
Paediatr Anaesth ; 15(2): 98-101, 2005 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-15675924

RESUMEN

BACKGROUND: Unpleasant smell of halogenated volatile agents is one of the frustrating factors for inhalational induction. We developed a new modification that might enable children to enjoy the smell itself while incrementally elevating sevoflurane concentration. Troposmia is usually a pathological quality change of smell perception and an olfactory stimulus is distortedly perceived in this state, which we applied to inhalational induction. METHODS: At the preoperative visit an anesthetist told the children that the smell of a facemask could be magically changed from strawberry into anything and promised to change the smell as they requested. In the operating room, a strawberry scented facemask was fitted to the face and the anesthetist announced to them that the magical change of the smell would begin when sevoflurane was added. Whether children perceived the change of the smell as they requested was investigated in the troposmia group, and resistance to fit a facemask was compared between the troposmia group and a control group. RESULTS: Significantly fewer children resisted the facemask in the troposmia group (1 of 32 vs 9 of 32; P = 0.0059). In the troposmia group 18, 22 and 25 of the 32 children said the smell of the facemask changed as they requested before they fell asleep, at the postoperative visit or both, respectively. CONCLUSIONS: Troposmia can be intentionally induced to perceive the smell of sevoflurane on request. Troposmia might contribute to promote children's participation in anesthesia induction and facilitate inhalational induction.


Asunto(s)
Anestésicos por Inhalación/efectos adversos , Éteres Metílicos/efectos adversos , Trastornos del Olfato/inducido químicamente , Trastornos del Olfato/psicología , Percepción/efectos de los fármacos , Olfato/efectos de los fármacos , Anestesia General/métodos , Anestesia General/psicología , Anestésicos por Inhalación/uso terapéutico , Niño , Preescolar , Femenino , Humanos , Masculino , Éteres Metílicos/uso terapéutico , Óxido Nitroso/administración & dosificación , Óxido Nitroso/uso terapéutico , Percepción/fisiología , Sevoflurano , Olfato/fisiología , Estimulación Química , Sugestión , Volatilización
15.
Int J Mol Med ; 12(5): 701-4, 2003 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-14532996

RESUMEN

Germinated barley foodstuff (GBF), which mainly consists of dietary fiber and glutamine-rich protein, is a prebiotic for ulcerative colitis (UC). In our previous study, we carried out a clinical trial of GBF with mildly to moderately active UC patients and showed that GBF treatment was able to attenuate the symptoms of UC in a relatively short-term. The aim of this study was to investigate the efficacy of long-term administration of GBF in the treatment of UC in a multi-center open trial. Twenty-one patients with mildly to moderately active UC received 20-30 g of GBF for 24 weeks in an open-label protocol while baseline treatments (5-amino-salicyrate compounds and/or steroids) were continued. The response to the GBF treatment was evaluated using a clinical scoring and after 24 weeks of observation, the GBF group showed a significant decrease in clinical activity index (especially, the degree of visible blood in stools and the presence of nocturnal diarrhea) compared with the control group (p<0.05). No side effects related to GBF were observed. In conclusion, GBF can reduce the clinical activity of UC over long-term as well as short-term administration. Nutraceutical GBF therapy may have a place in long-term management of UC, but controlled studies are needed to demonstrate its efficacy in the treatment of this disorder.


Asunto(s)
Colitis Ulcerosa/dietoterapia , Fibras de la Dieta/uso terapéutico , Hordeum , Preparaciones de Plantas/administración & dosificación , Preparaciones de Plantas/uso terapéutico , Adulto , Cólico/inducido químicamente , Colitis Ulcerosa/patología , Colonoscopios , Diarrea/inducido químicamente , Fibras de la Dieta/administración & dosificación , Fibras de la Dieta/efectos adversos , Heces , Hordeum/química , Humanos , Fitoterapia , Preparaciones de Plantas/efectos adversos , Preparaciones de Plantas/química , Factores de Tiempo
16.
Pathol Int ; 52(12): 777-83, 2002 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-12588447

RESUMEN

A case of malignant phyllodes tumor of the prostate in a 67-year-old man is reported. The patient was referred to a hospital for urinary retention. From material taken at three transurethral resections of the prostate (TURP), a histological diagnosis of benign prostatic hyperplasia was made. However, at the fourth TURP, phyllodes tumor was diagnosed due to the presence of elongated epithelial ducts and proliferating cellular stroma with mitosis and nuclear atypia. Two months later, total cystoprostatectomy was performed. Histologically, the tumor was composed of dysplastic stromal cells and irregularly elongated epithelial ducts. Five months later the patient developed multiple lung and pelvic lymph node metastases and died. This report documents progression to a higher histological grade of prostatic phyllodes tumor documented with sequential pathological findings obtained from four TURP and surgical specimens over about 3 years.


Asunto(s)
Tumor Filoide/secundario , Neoplasias de la Próstata/patología , Anciano , Biomarcadores de Tumor/análisis , Recuento de Células , Resultado Fatal , Humanos , Inmunohistoquímica , Antígeno Ki-67/análisis , Neoplasias Pulmonares/secundario , Ganglios Linfáticos/patología , Metástasis Linfática , Masculino , Tumor Filoide/química , Tumor Filoide/cirugía , Próstata/diagnóstico por imagen , Neoplasias de la Próstata/química , Neoplasias de la Próstata/cirugía , Estudios Retrospectivos , Tomografía Computarizada por Rayos X , Resección Transuretral de la Próstata
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